Chapter 531 Health and Human Services Commission

Sections

531.001
Definitions
531.002
Health and Human Services Commission; Responsibility
531.003
Goals
531.004
Sunset Provision
531.005
Executive Commissioner
531.006
Eligibility for Appointment As Executive Commissioner; Employee Restrictions
531.007
Term
531.008
Divisions of Commission
531.009
Personnel
531.010
Merit System
531.0011
References in Law Meaning Commission or Appropriate Division
531.011
Public Input Information and Complaints
531.012
Advisory Committees
531.0012
References in Law Meaning Executive Commissioner or Designee
531.013
Electronic Availability of Technical Assistance
531.014
Consolidation of Reports
531.015
New Facilities in Certain Counties
531.017
Purchasing Unit
531.018
Certain Contracts for Health Care Purposes; Review by Attorney General
531.019
Administrative and Judicial Review of Certain Decisions
531.020
Office of Community Access and Services
531.021
Administration of Medicaid
531.022
Coordinated Strategic Plan for Health and Human Services
531.023
Submission of Plans and Updates by Agencies
531.024
Planning and Delivery of Health and Human Services; Data Sharing
531.0025
Restrictions on Awards to Family Planning Service Providers
531.025
Statewide Needs Appraisal Project
531.027
Appropriations Request by Agencies
531.028
Monitoring and Effective Management of Funds
531.031
Management Information and Cost Accounting System
531.032
Application of Other Laws
531.033
Rules
531.035
Dispute Arbitration
531.036
Public Hearings
531.037
Notice of Public Hearings
531.038
Gifts and Grants
531.039
Contracts
531.040
Reference Guide; Dictionary
531.041
General Powers and Duties
531.042
Information and Assistance Regarding Care and Support Options
531.043
Long-term Care Vision
531.044
Financial Assistance Recipients Eligible for Federal Programs
531.047
Substitute Care Provider Outcome Standards
531.048
Caseload Standards
531.050
Minimum Collection Goal
531.0051
Health and Human Services Commission Executive Council
531.051
Consumer Direction of Certain Services for Persons With Disabilities and Elderly Persons
531.053
Leases and Subleases of Certain Office Space
531.054
Assumption of Leases for Implementations of Integrated Enrollment Services Initiative
531.0055
Executive Commissioner: General Responsibility for Health and Human Services System
531.055
Memorandum of Understanding on Services for Persons Needing Multiagency Services
531.056
Review of Survey Process in Certain Institutions and Facilities
531.0056
Appointment of Agency Director by Executive Commissioner
531.057
Volunteer Advocate Program for the Elderly
531.0057
Medical Transportation Services
531.058
Informal Dispute Resolution for Certain Long-term Care Facilities
531.059
Voucher Program for Transitional Living Assistance for Persons With Disabilities
531.060
Family-based Alternatives for Children
531.061
Participation by Fathers
531.062
Pilot Projects Relating to Technology Applications
531.063
Call Centers
531.064
Vaccines for Children Program Provider Enrollment and Reimbursement
531.066
Participation of Diagnostic Laboratory Service Providers in Certain Programs
531.067
Program to Improve and Monitor Certain Outcomes of Recipients Under Child Health Plan Program and Medicaid
531.069
Periodic Review of Vendor Drug Program
531.070
Supplemental Rebates
531.071
Confidentiality of Information Regarding Drug Rebates, Pricing, and Negotiations
531.072
Preferred Drug Lists
531.073
Prior Authorization for Certain Prescription Drugs
531.075
Prior Authorization for High-cost Medical Services
531.076
Review of Prior Authorization and Utilization Review Processes
531.077
Recovery of Certain Assistance
531.078
Quality Assurance Fees on Certain Waiver Program Services
531.079
Waiver Program Quality Assurance Fee Account
531.080
Reimbursement of Waiver Programs
531.081
Invalidity; Federal Funds
531.082
Expiration of Quality Assurance Fee on Waiver Programs
531.0082
Data Analysis Unit
531.0083
Office of Policy and Performance
531.083
Medicaid Long-term Care System
531.084
Medicaid Long-term Care Cost Containment Strategies
531.0084
Investigation Unit for Illegally Operating Child-care Facilities
531.085
Hospital Emergency Room Use Reduction Initiatives
531.087
Distribution of Earned Income Tax Credit Information
531.088
Pooled Funding for Foster Care Preventive Services
531.089
Certain Medication for Sex Offenders Prohibited
531.090
Joint Purchasing of Prescription Drugs and Other Medications
531.091
Integrated Benefits Issuance
531.092
Transfer of Money for Community-based Services
531.093
Services for Military Personnel
531.097
Tailored Benefit Packages for Certain Categories of the Medicaid Population
531.099
Alignment of Medicaid Diabetic Equipment and Supplies Written Order Procedures With Medicare Diabetic Equipment and Supplies Written Order Procedures
531.101
Award for Reporting Medicaid Fraud, Abuse, or Overcharges
531.102
Office of Inspector General
531.103
Interagency Coordination
531.104
Assisting Investigations by Attorney General
531.105
Fraud Detection Training
531.106
Learning, Neural Network, or Other Technology
531.108
Fraud Prevention
531.109
Selection and Review of Claims
531.110
Electronic Data Matching Program
531.111
Fraud Detection Technology
531.112
Expunction of Information Related to Certain Chemical Dependency Diagnoses in Certain Records
531.113
Managed Care Organizations: Special Investigative Units or Contracts
531.114
Financial Assistance Fraud
531.115
Federal Felony Match
531.116
Compliance With Law Prohibiting Solicitation
531.117
Recovery Audit Contractors
531.118
Preliminary Investigations of Allegations of Fraud or Abuse and Fraud Referrals
531.119
Website Posting
531.120
Notice and Informal Resolution of Proposed Recoupment of Overpayment or Debt
531.121
Definitions
531.0121
Public Access to Advisory Committee Meetings
531.124
Commission Duties
531.125
Grants
531.0141
Application Requirement for Colonias Projects
531.151
Definitions
531.152
Policy Statement
531.153
Development of Permanency Plan
531.154
Notification Required
531.155
Offer of Services
531.156
Designation of Advocate
531.157
Community-based Services
531.158
Local Permanency Planning Sites
531.159
Monitoring of Permanency Planning Efforts
531.160
Inspections
531.0161
Negotiated Rulemaking and Alternative Dispute Procedures
531.161
Access to Records
531.0162
Use of Technology
531.162
Permanency Reporting
531.0163
Memorandum of Understanding
531.163
Effect on Other Law
531.164
Duties of Certain Institutions
531.0164
Health and Human Services System Internet Website Coordination
531.165
Search for Parent or Guardian of a Child
531.0165
Internet Broadcast and Archive of Open Meetings
531.166
Transfer of Child Between Institutions
531.167
Collection of Information Regarding Involvement of Certain Parents and Guardians
531.0171
Office of Ombudsman
531.171
Committee Duties
531.0191
Services Provided by Contractor to Persons With Limited English Proficiency
531.191
Integrated Eligibility Determination
531.0192
Health and Human Services System Hotline and Call Center Coordination
531.0201
Phase One: Initial Transfers
531.201
Strategic Plan; Report
531.0202
Abolition of State Agencies and Entities; Effect of Transfers
531.202
Advisory Committee on Rural Hospitals
531.0203
Health and Human Services Transition Legislative Oversight Committee
531.203
Collaboration With Office of Rural Affairs
531.0204
Transition Plan for Implementation of Consolidation
531.0205
Applicability of Former Law
531.0206
Limited-scope Sunset Review
531.0207
Expiration of Subchapter
531.0211
Managed Care Medicaid Program: Rules; Education Programs
531.0212
Medicaid Bill of Rights and Bill of Responsibilities
531.0213
Support Services for Medicaid Recipients
531.0214
Medicaid Data Collection System
531.0215
Compilation of Statistics Relating to Fraud
531.0216
Participation and Reimbursement of Telemedicine Medical Service Providers and Telehealth Service Providers Under Medicaid
531.0217
Reimbursement for Certain Medical Consultations
531.0218
Long-term Care Medicaid Programs
531.0221
Initiative to Increase Mental Health Services Capacity in Rural Areas
531.0224
Planning and Policy Direction of Temporary Assistance for Needy Families Program
531.0225
Mental Health and Substance Abuse Services
531.0226
Chronic Health Conditions Services Medicaid Waiver Program
531.0227
Person First Respectful Language Promotion
531.0241
Streamlining Delivery of Services
531.0242
Use of Agency Staff
531.0244
Ensuring Appropriate Care Setting for Persons With Disabilities
531.0245
Permanency Planning for Certain Children
531.0246
Regional Management of Health and Human Services Agencies
531.0247
Annual Business Plan
531.0248
Community-based Support Systems
531.251
Texas System of Care Framework
531.255
Evaluation
531.257
Technical Assistance for Projects
531.0271
Health and Human Services Agencies Operating Budgets
531.0273
Information Resources Planning and Management
531.0274
Coordination and Approval of Caseload Estimates
531.281
Definition
531.282
Office; Staff
531.283
Goals
531.284
Strategic Plan
531.285
Powers and Duties
531.287
Texas Home Visiting Program Trust Fund
531.301
Development and Implementation of State Program; Funding
531.302
Rules
531.303
Generic Equivalent Authorized
531.304
Program Funding Priorities
531.0312
Texas Information and Referral Network
531.0313
Electronic Access to Health and Human Services Referral Information
531.0315
Implementing National Electronic Data Interchange Standards for Health Care Information
531.0317
Health and Human Services Information Made Available Through the Internet
531.0318
Long-term Care Consumer Information Made Available Through the Internet
531.0335
Prohibition on Punitive Action for Failure to Immunize
531.351
Definition
531.352
Providing Information to Commission
531.353
Toll-free Telephone Number
531.381
Definitions
531.0381
Certain Gifts and Grants to Health and Human Services Agencies
531.382
Victim Assistance Program Established
531.383
Grant Program
531.384
Training Programs
531.385
Funding
531.0391
Subrogation and Third-party Reimbursement Collection Contract
531.0392
Recovery of Certain Third-party Reimbursements Under Medicaid
531.0411
Rules Regarding Refugee Resettlement
531.421
Definitions
531.422
Evaluations by Community Resource Coordination Groups
531.423
Summary Report by Commission
531.424
Agency Implementation of Recommendations
531.451
Operational Plan to Coordinate Initiatives
531.452
Revision of Major Initiatives
531.453
Incentives for Initiative Coordination
531.471
Definition
531.472
Purpose
531.473
Composition of Council
531.474
Presiding Officer
531.475
Meetings
531.476
Powers and Duties
531.501
Definition
531.502
Direction to Obtain Federal Waiver
531.503
Establishment of Texas Health Opportunity Pool Trust Fund
531.504
Deposits to Fund
531.505
Use of Fund in General; Rules for Allocation
531.506
Reimbursements for Uncompensated Health Care Costs
531.507
Increasing Access to Health Benefits Coverage
531.508
Infrastructure Improvements
531.0511
Medically Dependent Children Waiver Program: Consumer Direction of Services
531.0515
Risk Management Criteria for Certain Waiver Programs
531.00551
Procedures for Adopting Rules and Policies
531.551
Uncompensated Hospital Care Reporting and Analysis
531.00552
Consolidated Internal Audit Program
531.00553
Administrative Support Services
531.00554
Criminal Background Checks
531.00561
Appointment and Qualifications of Division Directors
531.00562
Division Director Duties
531.0581
Long-term Care Facilities Council
531.0585
Issuance of Materials to Certain Long-term Care Facilities
531.0601
Long-term Care Services Waiver Program Interest Lists
531.0604
Medically Dependent Children Program Eligibility Requirements; Nursing Facility Level of Care
531.0693
Prescription Drug Use and Expenditure Patterns
531.0694
Period of Validity for Prescription
531.0696
Considerations in Awarding Certain Contracts
531.0697
Prior Approval and Provider Access to Certain Communications With Certain Recipients
531.0701
Value-based Arrangements
531.0735
Medicaid Drug Utilization Review Program: Drug Use Reviews and Annual Report
531.0736
Drug Utilization Review Board
531.0737
Drug Utilization Review Board: Conflicts of Interest
531.0738
Application for Funding to Implement Model of Care for Certain Medicaid Recipients
531.0741
Publication of Information Regarding Commission Decisions on Preferred Drug List Placement
531.751
Definitions
531.752
Establishment of Community-based Navigator Program
531.753
Program Standards
531.754
Training Program
531.755
Publication of Navigator List
531.0841
Long-term Care Insurance Awareness and Education Campaign
531.0843
Durable Medical Equipment Reuse Program
531.851
Mortality Review
531.852
Access to Information
531.853
Mortality Review Report
531.854
Use and Publication Restrictions; Confidentiality
531.855
Limitation on Liability
531.0861
Physician Incentive Program to Reduce Hospital Emergency Room Use for Non-emergent Conditions
531.901
Definitions
531.903
Electronic Health Information Exchange System
531.906
Electronic Health Information Exchange System Stage One: Electronic Prescribing
531.907
Electronic Health Information Exchange System Stage Two: Expansion
531.908
Electronic Health Information Exchange System Stage Three: Expansion
531.909
Incentives
531.911
Rules
531.912
Common Performance Measurements and Pay-for-performance Incentives for Certain Nursing Facilities
531.0925
Veteran Suicide Prevention Action Plan
531.0931
Interest List or Other Waiting List Rules for Certain Military Members and Their Dependents
531.0941
Medicaid Health Savings Account Pilot Program
531.951
Applicability
531.952
Record of Final Decision
531.953
Denial of Application Based on Adverse Agency Decision
531.954
Required Application Information
531.0971
Tailored Benefit Packages for Non-medicaid Populations
531.0972
Pilot Program to Prevent the Spread of Certain Infectious or Communicable Diseases
531.0973
Deaf-blind With Multiple Disabilities Waiver Program: Career Ladder for Interveners
531.0981
Wellness Screening Program
531.981
Definitions
531.982
Implementation of Texas Home Visiting Program
531.983
Types of Home Visiting Programs
531.984
Funding
531.985
Outcomes
531.986
Evaluation of Home Visiting Program
531.988
Rules
531.0991
Grant Program for Mental Health Services
531.991
Definitions
531.0992
Grant Program for Mental Health Services for Veterans and Their Families
531.992
Ombudsman for the Department of Family and Protective Services
531.993
Duties of Ombudsman
531.0993
Grant Program to Reduce Recidivism, Arrest, and Incarceration Among Individuals With Mental Illness and to Reduce Wait Time for Forensic Commitment
531.0994
Study; Annual Report
531.994
Investigation of Unreported Complaints
531.0995
Information for Certain Enrollees in the Healthy Texas Women Program
531.995
Access to Information
531.0996
Pregnancy Medical Home Pilot Program
531.996
Communication and Confidentiality
531.997
Retaliation Prohibited
531.0998
Memorandum of Understanding Regarding Public Assistance Reporting Information System; Maximization of Benefits
531.998
Report
531.0999
Peer Specialists
531.1011
Definitions
531.1021
Subpoenas
531.1022
Peace Officers
531.1023
Compliance With Federal Coding Guidelines
531.1024
Hospital Utilization Reviews and Audits: Provider Education Process
531.1025
Performance Audits and Coordination of Audit Activities
531.1031
Duty to Exchange Information
531.1032
Office of Inspector General: Criminal History Record Information Check
531.1033
Monitoring of Certain Federal Databases
531.1034
Time to Determine Provider Eligibility; Performance Metrics
531.1061
Fraud Investigation Tracking System
531.1062
Recovery Monitoring System
531.1112
Study Concerning Increased Use of Technology to Strengthen Fraud Detection and Deterrence; Implementation
531.1131
Fraud and Abuse Recovery by Certain Persons; Retention of Recovered Amounts
531.1132
Annual Report on Certain Fraud and Abuse Recoveries
531.1135
Managed Care Organizations: Process to Recoup Certain Overpayments
531.1201
Appeal of Determination to Recoup Overpayment or Debt
531.1202
Record and Confidentiality of Informal Resolution Meetings
531.1203
Rights of and Provision of Information to Pharmacies Subject to Certain Audits
531.1521
Preadmission Information
531.1531
Assistance With Permanency Planning Efforts
531.1532
Interference With Permanency Planning Efforts
531.1533
Requirements on Admissions of Children to Certain Institutions
531.1591
Annual Reauthorization of Plans of Care for Certain Children
531.02001
Consolidation of Health and Human Services System Generally
531.02002
Meaning of Function in Relation to Transfers
531.02011
Phase Two: Final Transfers to Commission
531.02012
Transfer and Consolidation of Administrative Support Services Functions
531.02013
Functions Remaining With Certain Agencies
531.02014
Related Transfers; Effect of Consolidation
531.02031
Study on Continuing Need for Certain State Agencies
531.02041
Required Reports After Transition Plan Submission
531.02111
Biennial Medicaid Financial Report
531.02113
Optimization of Medicaid Financing
531.02114
Dental Director
531.02115
Marketing Activities by Providers Participating in Medicaid or Child Health Plan Program
531.02118
Streamlining Medicaid Provider Enrollment and Credentialing Processes
531.02131
Grievances Related to Medicaid
531.02141
Medicaid Information Collection and Analysis
531.02142
Public Access to Certain Medicaid Data
531.02143
Data Regarding Postnatal Alcohol and Controlled Substance Treatment
531.02162
Medicaid Services Provided Through Telemedicine Medical Services and Telehealth Services to Children With Special Health Care Needs
531.02163
Study on Providing Certain Maternal Care Medicaid Services Through Telemedicine Medical Services and Telehealth Services
531.02164
Medicaid Services Provided Through Home Telemonitoring Services
531.02171
Reimbursement for Certain Telehealth Services
531.02174
Additional Authority Regarding Telemedicine Medical Services
531.02175
Reimbursement for Online Medical Consultations
531.02191
Public Input
531.02192
Federally Qualified Health Center and Rural Health Clinic Services
531.02193
Certain Conditions on Medicaid Reimbursement of Rural Health Clinics Prohibited
531.02194
Reimbursement Methodology for Rural Hospitals
531.02241
Pilot Program for Self-sufficiency of Certain Persons Receiving Financial Assistance or Supplemental Nutrition Assistance Benefits
531.02251
Ombudsman for Behavioral Health Access to Care
531.02252
Mental Health Condition and Substance Use Disorder Parity Work Group
531.02253
Telehealth Treatment for Substance Use Disorders
531.02411
Streamlining Administrative Processes
531.02412
Service Delivery Audit Mechanisms
531.02413
Billing Coordination System
531.02414
Nonemergency Transportation Services Under Medical Transportation Program
531.02415
Electronic Eligibility Information Pilot Project
531.02417
Medicaid Nursing Services Assessments
531.02418
Medicaid and Child Health Plan Program Eligibility Determinations for Certain Individuals
531.02442
Community Living Options Information Process for Certain Persons With an Intellectual Disability
531.02443
Implementation of Community Living Options Information Process at State Institutions for Certain Adult Residents
531.02444
Medicaid Buy-in Programs for Certain Persons With Disabilities
531.02445
Transition Services for Youth With Disabilities
531.02447
Employment-first Policy
531.02481
Community-based Support and Service Delivery Systems for Long-term Care Services
531.02482
Faith- and Community-based Organization Support for Certain Persons Receiving Public Assistance
531.02491
Joint Training for Certain Caseworkers
531.02731
Report of Information Resources Manager to Commission
531.03131
Electronic Access to Child-care and Education Services Referral Information
531.03132
Electronic Access to Referral Information About Housing Options for Persons With Mental Illness
531.8501
Definition
531.9051
Electronic Health Information Exchange System Stage One: Encounter Data
531.9871
Reports to Legislature
531.9921
Conflict of Interest
531.9931
Division of Ombudsman for Children and Youth in Foster Care
531.09935
Grant Program to Reduce Recidivism, Arrest, and Incarceration Among Individuals With Mental Illness and to Reduce Wait Time for Forensic Commitment in Most Populous County
531.9941
Disputes Regarding Foster Children
531.021135
Commission's Authority to Retain Certain Money to Administer Certain Medicaid Programs; Report Required
531.021182
Use of National Provider Identifier Number
531.021191
Medicaid Enrollment of Certain Eye Health Care Providers
531.024115
Service Delivery Area Alignment
531.024131
Expansion of Billing Coordination and Information Collection Activities
531.024141
Pilot Program for Providing Medical Transportation Program Services to Pregnant Women and New Mothers
531.024161
Reimbursement Claims for Certain Medicaid or Child Health Plan Services Involving Supervised Providers
531.024162
Notice Requirements Regarding Medicaid Coverage or Prior Authorization Denial and Incomplete Requests
531.024163
Accessibility of Information Regarding Medicaid Prior Authorization Requirements
531.024164
External Medical Review
531.024171
Therapy Services Assessments
531.024172
Electronic Visit Verification System
531.024181
Verification of Immigration Status of Applicants for Certain Benefits Who Are Qualified Aliens
531.024182
Verification of Sponsorship Information for Certain Benefits Recipients; Reimbursement